Many women notice changes in their menstrual cycle in their 30s and beyond. One of the most common concerns is heavy menstrual bleeding, also known as menorrhagia. While some fluctuation can be normal, consistently heavy periods can interfere with daily life and may signal an underlying condition that deserves attention.
Understanding what’s normal, what’s not, and when to see an OB/GYN can help you get the care and relief you need.
What Counts as Heavy Menstrual Bleeding?
Heavy periods may look different for everyone, but common signs include:
- Bleeding longer than 7 days
- Needing to change pads or tampons every 1–2 hours
- Passing large blood clots
- Bleeding that interferes with work, sleep, or daily activities
- Symptoms of anemia, such as fatigue or dizziness
If your periods feel harder to manage than they used to, it’s worth discussing with your OB/GYN.
Common Causes of Heavy Periods After Age 30
There are several reasons heavy menstrual bleeding can develop in your 30s or later.
Hormonal Changes
Hormonal fluctuations can affect how the uterine lining builds up and sheds. This is common as the body transitions toward perimenopause, even years before menopause begins.
Uterine Fibroids or Polyps
Noncancerous growths in the uterus can cause heavier or longer periods, pelvic pressure, or cramping.
Endometriosis
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. It can cause heavy periods, severe cramps, pelvic pain, pain during intercourse, and digestive discomfort. Endometriosis is a common, but often underdiagnosed, cause of heavy bleeding. Its symptoms can become more noticeable as time goes on.
Adenomyosis
This condition occurs when the uterine lining tissue grows into the uterine muscle, often leading to heavy, painful periods and pelvic tenderness.
Medical Conditions or Medications
Thyroid disorders, bleeding conditions, or certain medications can also contribute to menorrhagia.
How Heavy Periods Are Evaluated
An OB/GYN may evaluate heavy menstrual bleeding through:
- A detailed menstrual and medical history
- Pelvic exam
- Blood tests to check for anemia or hormone levels
- Ultrasound or imaging
- Additional testing if endometriosis or other conditions are suspected
The goal is to identify the cause and tailor treatment to your needs.
Menorrhagia Treatment Options
Treatment depends on the cause, severity of symptoms, and your fertility goals.
Non-Surgical Treatments
- Hormonal birth control (pills, IUDs, or other methods)
- Non-hormonal medications to reduce bleeding
- Iron supplements if anemia is present
Surgical or Procedural Options
- Procedures to remove fibroids or polyps
- Treatments for endometriosis
- Advanced options when symptoms are severe and persistent
Your OB/GYN will help you weigh the benefits and risks of each approach.
Endometriosis Treatment Options
Treatment for endometriosis depends on symptom severity, how much it affects daily life, and whether pregnancy is a goal.
Common treatment options may include:
- Hormonal therapies to reduce or suppress menstrual cycles
- Pain management strategies tailored to individual symptoms
- Lifestyle and supportive care to help manage inflammation and discomfort
- Surgical treatment in cases where symptoms are severe or do not respond to other approaches
An OB/GYN can help determine whether endometriosis may be contributing to heavy periods and guide you toward the most appropriate treatment plan.
Seeing an OB/GYN for Heavy Menstrual Bleeding
You should seek medical care if you experience:
- Heavy periods that disrupt daily life
- Bleeding that suddenly becomes heavier or more painful
- Periods accompanied by severe pain or fatigue
- Signs of anemia
- Bleeding between periods
Early evaluation can prevent complications and improve quality of life.
You Don’t Have to Live With Heavy Periods
Heavy menstrual bleeding after age 30 is common, but it’s not something you have to “just deal with.” With proper evaluation and individualized treatment, many women find significant relief and better cycle control.
If your periods feel different, heavier, or harder than they used to be, scheduling a visit with an OB/GYN is an important first step. Call our team at Capital Women’s Care at (301) 424-3444 to schedule an appointment.